Please select from the following optional service offerings to complete your arrangement plans.

Review your order.

Please make sure everything you have selected below is accurate.

Deceased Information.

This information is used to complete the death certificate and permit, and to notify Social Security. All provided information must be accurate.

First Name

Middle Name

Last Name

Street Address

City

State

Zip

Place of Death

Date of Death

Deceased Vital Information

Sex

Marital Status

Date of Birth

City of birth

State of birth

Social Security Number

Race

Occupation

Education

Deceased Spouse/Parental Information

Spouse First Name

Spouse Last Name

Spouse Deceased Date

Father First Name

Father Last Name

Father Deceased

Mother First Name

Mother Last Name

Mother Deceased

Deceased Next-of Kin Information

The legal next-of-kin is required to sign, authorizing the .

Note: only the person or persons in each category listed below is required to
sign. To determine next-of-kin, the categories below must be followed in descending order.
Categories cannot be skipped if there are living members in the category, unless they are
incapacitated or their whereabouts are unknown. In either case, documentation will be
required attesting to their circumstances. Contact our office for help regarding
this situation.

The descending order of legal next-of-kin is as follows...

Spouse of deceased

All children over the age of 18

Custodial parent

Non-custodial parent

Next-of-Kin Name

Relationship to Deceased

Phone Number

Email

Street Address

City

State

Zip

Additional Information

Payment & checkout

Please provide all of the information requested below to complete your arrangements. If you have any questions, please contact our office.

Thank you for placing your trust in us for your funeral service needs. We understand that making financial decisions after the loss of a loved one can be difficult. We encourage you to ask questions and have an open discussion with your director regarding payment options so that you can make the best decision for your family.

For your peace of mind, until a method of payment has been secured and/or an insurance policy assignment been confirmed, we will not proceed with scheduling the visitation and services or running a public obituary notice. Once payment and/or insurance confirmation has been secured, we will proceed with all of your arrangements as described in this plan.

Please select your choice of payment:

Payment Type:

Thank You!

Your funeral arrangements have been received. We will review them and be in contact with any necessary next steps.